Project Change Request Template
|Project Name | |Change Number | |
|Requested By | |Date of Request | |
|Presented To | | | |
|Change Name | |
|Description of Change: |
| |
|Reason for Change: |
| |
|Effect on Deliverables (including a list of any affected deliverables): |
| |
|Effect on Organization: |
| |
|Effect on Schedule (including Estimated Completion Date for this change): |
| |
|Effect on Project Cost: |
|Item Description |Hours |Dollars |
| |Reduction |Increase |Reduction |Increase |
|Analysis | |0 | |$ 0.00 |
|Development (Code and Unit Test) | |0 | |$ 0.00 |
| | | | | |
|Total Net Change in Cost: | |$ 0.00 |
|Effect of NOT Approving this Change: |
| |
|Reason for Rejection (if applicable): |
| |
|Functional Project Manager |
| Approved |Signature: | |
| Rejected |Title: | |Date: | |
| |
|USF IT |
| Approved |Signature: | |
| Rejected |Title: | |Date: | |
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